Individual
LISA K CHERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW,LADAC
Contact information
Practice address
01 SAGEBRUSH STREET, ISLETA, NM 87022-0000
(505) 869-4863
(505) 869-4881
Mailing address
01 SAGEBRUSH STREET, ISLETA, NM 87022-0000
(505) 869-4863
(505) 869-4881
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
044DBK
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044DBK
NEW MEXICO LICENSE
NM
Enumeration date
08/25/2008
Last updated
08/25/2008
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